- 期刊
Life-threatening Left Lung Collapse Combined with Mediastinal Shift Rescued by a Chest Tube Insertion-A Case Report
以胸管成功救治左肺葉塌陷合併縱膈腔偏移之瀕死病患之病例報告
並列摘要
Pulmonary atelectasis due to acute endobronchial blood clot impaction is not uncommon in the setting of substantial hemoptysis. Sometimes, life-threatening hypoxemia and hemodynamic changes may occur even with collapse of only one lung. Alterations of pulmonary blood flow distribution with increased pulmonary shunt could contribute to these events. In addition, abnormal negative pleural pressure caused by total lung collapse also plays an important role in these situations. Here we report a case with near-fatal left lung collapse was rescued by immediate chest tube insertion. We would like to discuss the relative pathophysiology of the condition and anesthetic management of patient in such a dangerous situation.
延伸閱讀
- 林鳳卿、吳品萱、陸嘉真（2019）。【論文摘要】胸腔手術後併發支氣管肋膜瘻管的呼吸照護。呼吸治療，18(1)，136-136。https://doi.org/10.6269/JRT.201907_18(1).0055
- Chiu, C. T., Liu, S. F., & Lin, M. C. (2005). 胸腔主動脈術後併發主動脈氣管瘻管－一個案例報告. 胸腔醫學, 20(1), 91-95. https://doi.org/10.29806/TM.200502.0014
- Lin, W. T., Cheng, K. C., Liu, H. P., Hsieh, J. R., Hong, C. L., Wu, R. S. C., & Tan, P. P. C. (1998). 在胸腔內視鏡手術中使用單腔支氣管內管處理左肺及雙肺通氣的切換之病例報告. Acta Anaesthesiologica Sinica, 36(4), 229-233. https://doi.org/10.6955/AAS.199812.0229
- How, C. H., Hsiao, W. L., & Lee, J. M. (2015). 經胸腔鏡復位之左上肺葉切除後肺扭轉：案例報告. 胸腔醫學, 30(1), 36-41. https://www.airitilibrary.com/Article/Detail?DocID=10239855-201502-201502030020-201502030020-36-41
- Hung, W. T., Hsiao, P. N., & Chen, K. C. (2019). 以免插管胸腔鏡肺泡切除術及肋膜沾黏術治療一名氣胸之裘馨氏肌肉失養症病人：病例報告. 胸腔醫學, 34(4), 148-154. https://www.airitilibrary.com/Article/Detail?DocID=10239855-201908-201907290010-201907290010-148-154